Gonzalez, Guadalupe Gamboa
Gonzalez, Guadalupe Gamboa is an individual health care provider with primary practice located at 1200 N State St Room 3000, Los Angeles CA 90033-1029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gonzalez, Guadalupe Gamboa can be contacted via phone (323) 409-2196.Contact Information
Primary practice address
1200 N State St Room 3000
Los Angeles CA 90033-1029
Phone: (323) 409-2196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA13264 | California |
Profile Details
| NPI number | 1700929650 |
|---|---|
| LBN Legal business name | Gonzalez, Guadalupe Gamboa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jun 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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